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HomeMy WebLinkAboutSubmittal-Ben Fernandez-Homicide Incident ReportPrinted by: 01786 Printed date/time: 1/23/14 10:12 CITY OF MIAMI POLICE DEPARTMENT 400 NW 2 AVENUE MIAMI, FLORIDA 33128 (305)579-6111 Incident Report Incident Number: 120105-004521 Page 1 of 4 Incident Summary Incident Type: HOMICIDE Report. Type: ORIGINAL INCIDENT Inc Occurred Address: 5954 NE 5TH AV, MIAMI, FLORIDA 33137 Sector/Beat: 13/P133 Inc Occurred Start: 01/05/2012 17:57 Inc Occurred End: 01/05/2012 17:57 Report Taken: 'Domestic: N Bias Motivation: Gang Related: N Substance: U Contact Nature: Reported DateTme: 01/05/2012 17:56 Reporting Officer: PAUL NOEL, ANDRE Primary Assigned Officer: GARCIA, ROLANDO Case Status: Disposition: PENDING Disposition Date: 01/05/2012 17:56 - Approved by: KELLY, KONSHAWNIA Approved date/time: 02/22/2012 14:16 Approve status: Approved Offenses Statute Code: 782.04 " Statute Desc: MURDER Counts: 1 Statute Severity: FELONY/SECOND DEGREE Enhancers: Officers Event Association Emp# Badge# Name 05471 05471 PAUL NOEL, ANDRE Primary Responding Officer 05471 05471 PAUL NOEL, ANDRE ID TECH- "" ` — 07910 - 07910 YEN; ARNOLD PRIMARY ASSIGNED OFFICER 02176 02176 GARCIA, ROLANDO Squad# Persons Involved Person#: 0001 MNI: 646733 Can ID Suspect: No Event Association: VICTIM Contact Date/Time: 01/05/2012 17:56 Name: Viariffpfilile SSN: — DOB: 07/28/1990 Age: 21 - 21 Sex: FEMALE Race: BLACK Height: Weight: Eye Color: Hair Color: Address: 910 NE 128 ST, NORTH MIAMI, FLORIDA 33161 Sector/Beat: Phone Type 1: Phone# 1: Ext 1: Phone Type 2: Phone# 2: Ext 2: DL State: DL#: DL Exp. Date: Occupation: Employer/School: Person Offenses Statute Code: 782.04 Statute Desc: MURDER Counts: 1 Person#: 0002 MNI: 646745 Event Association: WITNESS Name: SARDINAS, PEREIRAS ANTONIO ERIC SSN: — DOB:.06/10/1970 Height: Weight: Address: 1624 NW 10 ST, CAPE CORAL, FLORIDA 33993 Phone Type 1: HOME Phone# 1: (305) 554-7410 Phone Type 2: Phone# 2: DL State: DL#:, Occupation: Enhancers: Contact DatelTime: 01/05/2012 17:56 Age: 41 - 41 Sex: MALE Eye Color: Ext 1: a L(. Ext 2: Can ID Suspect: No Race: HISPANIC Hair Color: Sector/Beat: 12 �a DL Exp. Date: "; 4 :s" 0 Employer/Schooajy L RECORD FOR 10- 0love,6-c -f�a1- e eroan ;TE ONk3_Ii-f ez- Hioriicid ref- Printed by. 01786 Printed date/time: 1/23/14 10:12 CITY OF MIAMI POLICE DEPARTMENT 400 NW 2 AVENUE MIAMI, FLORIDA 33128 (305)579-6111 Incident Report Incident Number: 120105-004521 Page 2of4. - Persons Involved Person#: 0003 Event Association: WITNESS Name: URQUIOLA, TANIA MARIA SSN: DOB: 11/19/1976 Height: 5' 5" - 5' 5" : Weight: 180 - 180 Ibs Address: 9100 SW 31STTE, MIAMI, FLORIDA HOME :Rhone# 1: (305) 554-7416 '•hone# 2: Phone Type 1: Phone Type 2: DL State: Occupation: Person#: 0004 Event Association: WITNESS Name: TRUFFIN, SARAH KAYE SSN: *NI: 299237 :MNI: 444372 DOB: 11/07/1993 Height: 5' 7" -5' 7" VfelIght: 150 -150 Ibs Address: 67584 ST , APT: 3, MIAMI BEACH, Phone Type 1: HOME Phone# 1: Phone Type 2: Phone# 2: DL State: DL#: Occupation: UNEMPLOYED Person#: 0005 Event Association: SUSPECT Name: UNKNOWN, UNKNOWN SSN: Height: Address: Phone Type 1: Phone Type 2: DL State: Occupation: (786)315-3925 • MNI: 646768 DOB: Weight: Phone# 1: Phone# 2: DL#: Characteristics Characteristic Type: Further Defined By CLOTHING Person Offenses Statute Code: 782.04 Statute Desc: MURDER Counts: 1 Can ID Suspect; Contact DateTme: 91/05/2012 17:56 Age: 35 - 35 Sex: MALE Eye Color: BROWN Ext 1: Ext 2: DL Exp. Date: - Employer/School: Race: WHITE Hair Color: BLACK Sector/Beat: -- __-= Can ID Suspect: No Contact Date/Time: 01/05/2012 17:56 Age: 18 -18 Sex: FEMALE Eye Color. GREEN Ext 1: Ext 2: DL Exp. Date: Employer/School: Race: WHITE Hair Color:- BLACK K Sector/Beat: Contact Date/Time; 01/05/2012 17:56 Age: - Eye Color: Sex: MALE Ext 1: Ext 2: DL Exp. Date: Employer/School: Description: BROWN HOODIE, CAMOUFLAGE JACKET Enhancers: Can ID Suspect: No Race: BLACK Hair Color: Sector/Beat: Submitted into the public record in connection with item PZ.i on 01/23/14 Todd B. Hannon City Clerk Printed by: 01186 Printed date/time: 1 /23/1410.:12 - CITY OF MIAMLPOLICE DEPARTMENT 400 NW 2 AVENUE MIAMI, FLORID 133128 (305) 579-6111 '• Incident Report Incident Number: 120105-004521 Page3 of 4 Vehicles Involved Vehicle#: 0001 Event Assoc:. USED IN CRIME Vehicle Type: A VIN: 1 GKDT13W9S2513063 Style: 4DOOR Status DUTmt NCIC Date: NCIC#: Year: 1995 License#: ALJC71 State: FL Prim Color: RED Sec Color. MAROON Status Value: Recovered Date: NCIC Reported By: NCIC Cancelled: Registered Ovvner Name: TANIA MARIA URQUIOLA Address: • Vehicle Status: -" = Make: GENERAL MOTORS CORP- - Model: JIMMY Expires On: 11/2011 Ter Color: Recovered Value: Phone#: Submitted into the public record in connection with item PZ.1 on 01/23/14 Todd B. Hannon City Clerk Printed by: 01786 Printed date/time: 1/23/14 10:12 CITY OF MIAMI.. POLICE DEPARTMENT 400 NW 2 AVENUE MIAMI, FLORIDA' 33128 (305) 579-6111 ..'. Incident Report Incident Number 120105-004521 Page 4 of-4 - Narratives ENTERED DATE/TIME:'2/17/2012 09:55:15 NARRATIVE TYPE: ORIGINAL INCIDENT SUBJECT: AUTHOR:. PAUL NOEL, ANDRE I WAS DISPATCHED TO THE LOCATION REF A SHOOTING. UPON ARRIVAL I OBSERVED THE VICTIM IN THE REAR BACK SEAT (RIGHT), OF A RED GMC JIMMY TRUCK BEARING A FL TAG OF ALJC71. REC.9 WAS ON THE SCENE TREATING THE VICTIM. LT. ENRIQUEZ PRONOUNCED THE VICTIM DECEASED AT 1804. HOMICIDE UNIT TEAM AND ID RESPONDED TOTHE SCENE. WITNESSES WAS TRANSPORTED TO HOMICIDE. IN ADDITIONAL BOLO WAS ISSUED REF THE SUSPECT AND FLEEING SILVER BIKE. Signatures Reporting Officer Date Supervisor Date Submitted into the public record in connection with item PZ.i on 01/23/14 Todd B. Hannon �_ _ _ City Clerk E` ii: S P,:ORT 81 3t. "` t;IATE'O pI¢PPTCj!' ); , < N $ `` r.,;. �';•, et;';�y j/;OF '. 7;: ;>;,; sr.' ::+�.I10; i� P.EOFPFPANSEJIN.91PSN1.Y/./'' `''`:`.1 CQPpY 1►I[CIoQ. ( &oxide 1.0.4AT I� Q :;11:ODAT(ON .OF;INCIOENT:g 545.11ALErAvg. 4 CROSS REVANC. I11 1172- 116 - VI.1 O VI.2 O V1.3 O 18,.::FOROED.NiR.Y. (s1Nd14ra"oi1Y); i20 - VI.1 >� V1.2 0 V13 O 0 YES OM NO 0 WA l 1.} ASTAT11TE #1ri`` aFbis <.` 71g izI-b i L'OOAT(ON.T1PE::: (D RESIDENCE -SINGLE CD'iAPARTMENT/CONDO ® RESIDENCE -OTHER (ID HOTELAAOTEL (1) CONVENIENCE STORE CID GAS STATION �} UQUOR SALES CID BAR/NIGHTCLUB ODSUPERMARKET ® DEPTJDISCOUNT STORE ® SPECIALTY STORE 22 STATUTE 02 III -IIII S DRUG STORE/HOSPITAL ® BANK/FINANCIAL INST. ®COMMERCIAU OFFICE BLDG. ® INDUSTRIAUMFG. (1 STORAGE ® GOVT/PUBUC BLDG. ® SCHOOL/UNIVERSITY I]JJAIL/PRISON ® RELIGIOUS BLDG. ®AIRPORT ® BUS/RAIL TERMINAL ® CONSTRUCTION SITE ®OTHER STRUCTURE I23 STATUTE 03 APT. # er,`11VIT.$ ' 11... O,FFIFER, BAULTED 0 YES a NO 24 DESK PIN # 17�5 NO. OF STRICTURES ENTERE III-IIII a PARK. LOT/GARAGE (p HIGHWAY/ROADWAY ® PARK/FIELD WOODLANDS LAKE WATERWAY 2 MOTOR VEHICLE OM OTHER MOBILE Iffi OTHER KNOWN si1:1°.V#CTIM TYPE: VICTIM #1 VICTIM #2 D VICTIM #3 JUVENILE ® ADULT ® ott BUSINESS GOVERNMENT CHURCH WILL VICTIM PROSECUTE? BYES ONO O YES ONO OYES (DNO I2olo €4 ,au BER `Ci3( 3c7 :C .0 0. 01 0 01 C� Cr (ID a).®Y�' .a E ®® OE REFUGEE I3 RELATED c O HATE CRIME G; O MEDICAL RELATED Q :t; O DOMESTIC VIOLENCE 0.; °' OTOURIST CRIME Q. 0 DISASTER RELATED a.'. OMDT HIT O GANG RELATED 0 CIVIL DISTURBANCE RemiR.NeN1P„ !TO:O F4f`IDH'I3 -mum #1 VICTIM #2 VICTIM #3 NA MINED STRANGER SPOUSE a Ca a CD 1:1ED CD CD CHILD OF BOW BOVOIRL STUDEiTTEACFER FREND FRIEND VICTIM #1 ® a Q$t VICTIM #2 d;l+ ® ® Q� VICTIM #3 ® MD MD CD 10 BUSINESS ADDRESS 1 VICT. 0 P.R. 0 WTTN AE,1=(RB'0:MIDDLE /Y 41).01N 8.,' CO- SPOUSE HABITANTPARENT 818TEERR WELD ® ® ® @b CO • 1110 CD CD CD SITTER/ CD MD CD MD MD ® (D OID RESIDENCE ADDRESS 4/G 2 LAST NAME, FIRST, MIDDLE BUSINESS /CAI 445 ee •QLt45 An 9116 Cr RISsID CE ADDRESS %rot N•w./a PLOYEE VICTIM OF DOMESTIC VIOLENCE? EiID STEP- PARENT at GNLD DRAW cm cm OD OD LAND- PLDY6i LORD/ ACOUAIN. TEU T ANCE let CD ® CD ID .0 ® CD VIC PAMPHLET ® PAMPHLET OD GIVEN Qi'i GIVEN s) FAMILY F 0 0 OTHER 0 0 CI3 erN/A ® PART YEAR JIID FULL YEAR 0 NON-RESIDENT DAY/TIME AVAIL 12 OCCUPATION/TITLE 8 VICTIM OF 1 2 3 I B RESIDENCE ® WA 0 PART YEAR STATUTE O O O STATUS 0 FULL YEAR 0 NON-RESIDENT 10. BUSINESS ADDRESS / SCHOOL CITY / ZIP 11 DAYf 11MF _AVAIL 12 OCCUPATIONmTLE 2� )LAST NAME, //FIRST, MIDDLE BUSINESS 4{VICTIM OF VIC �gll [ d / ® DOMESTIC PAMPHLET CD V n [ol • I1q rC a VIOLENCE? et GIVEN (/- 8 SS# RESIDENCE ADDRESS /APT.# / /00 5.w. 3/ l�e(tace Ptiw[1 1 VICT. 0 P.R. O 'WTrN. ex. 8 VICTIM OF 1 2 3 STATUTE O O O 10 BUSINESS ADDRESS / SCHOOL PENT 9F.IN4URY VICTIM #1 VICTIM #2 VICTIM #3 8 RESIDENCE STATUS NONE MINOR SEROUS ® (D (2) ® () (2) ®. CID ® VICTIM #2 01) VICTIM #3 OD 5,1170,RNizire.Eb Trafin 1j4e'Vtvl 11.0( O Tun PR 2 N/A et FULL YEAR 11 DAY/TIME AVAIL. 2 TOTAL NUMBER OF VICTIMS 3.: ® A OJ ®# CI}i� (t$ CD (ID OD CAD OD CD OD BIC 07- 4 9DM OQ ® N/A (IIR{COUNTY (0 CITY FLORIDA 3 RES. PHONE C ® OUT OF STATE 14 BUS. PHONE 5 DOB/AGE d6-/0 -/Q76 I P 2TE 3 'P 1413 413 /COUNTRY DA RESIDENCE CD VA ®•!COUNTY 0 OUT OF TYPE ('CITY ® FLORIDA STATE 13 RES. PHONE 14 BUS. PHONE ( ) 3 A/J 4 FM DV PAMPHLET cv A GIVEN *IOJ W/ /STATE /ZIP FL 13 RES. PHONE ( ) 2 LOCATION QN BODY 3 HOSPITAL/CLINIC VI. #1 Off/th ( 'I Skil LotovildS VI. #1 VI #2 VI. #2 VI.#3 VI. #3 0 at, a ® C CD @9 CD CD 4ED 0 CD OID (D (0 (g OD A/J 3 AGE 4 RES.ADDRESS CITY APT. # 8 6/5191,5r !tram. 0e4c1/4. A/J 3 AGE Yo 4 RES. ADDRESS witlilkiim vre `its-16 p 740 SE DO No CD ( @b BUS. ADDRESS 8 BUS. ADDRESS IS.ASEA::.':' O..O;O. • ®COUNTY (111 FLORIDA S DOB/AGE I7-f�-/ /COUNTRY ® OUT OF STATE 14 BUS. PHONE ( ) OTHER C` RES. PHONE ) BUS). PHONE ( RES. PHONE ) BUS. PHONE MI O c 0 a d c 0 c c AO 0 a I= a a a '419, ::-... 1 LAST NAME, FIRST, MIDDLE 8 u t 1 8 8 P 8 8 1 C N T 8 C.. P YES, 8 NO INFO O N #1 8NI 8 P C • N T O 5 BUSINESS ADDRESS 9 NICKNAME 17 THIN JEWELRY, TIN f (own -addle 1 LAST NAME, FIRST, MIDDLE 2 RESIDENCE ADDRESS / APT, 0 CITY /ZIP COO CITY / ZIP CODE 1q• A/J • 11 DOB/AGE 8 USUAL OCCUPATION wr 7 INJURED Submitted into the public record in connection with item PZ.1 on 01/23/14 Todd B. Hannon City Clerk I( I1 I :. YES NO C. FATAL 13 HOT. 14 WOT. 18 EYE COLOR 8 CITIZENSHIP 18 HAIR COLOR 18 SCARS, MARKS, TATTOOS, DEFORMITIES: DESCRIBE & LOCATION OF BODY ERISMS, CHARACTERISTICS RESIDENCE ADDRESS / APT, 0 CITY ZIP CODE 5 BUSINESS ADDRESS / CITY.; ZIP CODE 8 USUAL OCCUPATION 7 INJURED 3 RES.PHONE ( ) CIL YES . C. NO C.. FATAL 4 BUS. PHONE ( ) 8 CITIZENSHIP 9 NICKNAME C.. P NO 8 INFO N #2 1 HAIR LENGTH C% (.1.' -LONG CD CL:•2-MEDUM CD :'�i3-SHORT CD Ca)4-RE!»PJG ® :'. CD '+5-BALDING ▪ (� 6-BALD ism KEIN ▪ t Mal Bill r�k-Te tam Dia BEN MEN MEE OEM MEI 12311 ECM MEI RIM MGM PI 10 .A/J 20`:1 11 DOB/AQE 17 CLOTHING, JEWELRY, MANNERISMS CHARACTERISTICS 2 HAIR STYLE CD ( ' 1-AFRQWA1URAL (D C; 2 - BRAIDED Ci (h .3-BUSITY OE) r4-DIRTY/GREASY CD M 5 - DREADLAC108 CD ME- PROCESSED • a) V (L 8- UNCOMBED t)'L 9- WAVY/CURLY M 0.OTHER ht MIS$WO:PF�(iS01 CODE; .; ' C] m 1 - MISSING D (11 2 - RECOVER OOT MISSING Ci 3 - MISSING AD RECOVERED 8 FACIAL HAIR •1-CEANSHAVBJ (D!'r,2-FULL BEARD CD:)3-FU MANCHU 3j f(r4-FUZZ flY" .i5-GOATEE (DM 6- LOWER UP CD 7-MUSTACHE CDM 8 - SIDEBURNS (3)T..L 9- UNSHAVB•l CD MO —OTHER 12 RACE/SEX 13 HOT. 14 WOT. 15 EYE COLOR 10 HAIR COLOR 18 SCARS, MARKS, TATTOOS, DEFORMITIES: DESCRIBE & LOCATION OF BODY 4 COMPLEXION (L(L1-LIGHT .• (D (r.2-MEDIUM (L—ARK 11) (..L 4- RUDDY D (1)5- TANNED (,6-MUULTTO () 7-ALBINO CD Cie -ACNE COB - FRECKLED o MO- OTHER 8 TEETH C.` 4.1- BROKEN ' - D `T2- BUCK TEETH 3) 4)3-DECAYED Cfl 4:4-DIRTY (D C.5-GOLD cI !Z 8- GOLD UVED • (2) 7 _GOLD DESIGN CD C)8-MSSNG CD. 9- VERY WHITE • (j)0-OTHER ?',.TY?EMSSING,. ' I.!:.i , �CZ 1-RUNAWAYCD ()1-ENDANGERED (lj 2 - PARENTAL a) '((i 2 - DISASTER VICTIM C.0 C3'i 3 - INVOLUNTARY ,3D () 3 - VOLUNTARY ADULT (X) 4 - DISABLED, CD () 4 - UNKNOWN F91,44, I.A .9Vg9TI o 1D rota • C)Co'2-NO. a, STOLEN czo ABANDONED' pxy;7.I:;r..q IMPOUNDED *USED IN CRIME bf13wC4S2 I''063 MAKE 7 ODEL 13 VEHICLE COLOR 6`.;P�I}SOfI.eWS$INOI pREVIOUSLYTt'. , CDM 1 - YES • . • CD M)2-NO . 1` 3 - UNKNOWN • COLOR RANGE D`aiRt; fan ' (gj bAFiK;CR�EN, LEY f RE!.WUMFJOUVE (j GFIAV/SiLVEI ` 17 DOORS LOCKED? C:YES C NO (I) SEIZED (V) FAILED TO RETURN Cl� REC'VD FOR OTHER AGENCY CD MPD STOLEN AND/OR RECVD Cif RETURNED TO OWNER © OTHER (ARSON/DAMAGE). • Cst, VICTIM/IARC OR ATT-ATT 22 (IF DAMAGED, USE'0°), 4 DECAL # 18 WINDOWS CLOSED? C'YES C NO :,23 PERSON LAST DRIVING VEH. 28 LOCATION OF RECOVERY OF M.V. 24 RIS 8 R. 023E[GOf OTHER/UNKOWN:, ' e'?.'.: ' 0 BO 19 KEY IN IGNITION? C. YES C NO 25 DOB/AGE 10 L 7 - NASAL: C$? 8- RASPY (1)9-STUTTER :110-OTHER 8 RIL HANDED (Y i2:• 1- RIGHT (ID•2-LEFT (ID M'3-UNKNOWN 9' BUILD CD -UGHT CD M2-MEDIUM rj3 CX:3-HEAVY D CI) 6 ;RETURNED TO (D (0 PARENT/GUARDIAN (ID (17 - DECEASED - RETURNED - - - -C J.(19-OTHER- �) 0 3 - HOSPITALS ' ' CD a) 4 - HRS CUSTODY CD Chi 5 - LAW ENFORCEMEIyT...: CUSTODY. , .. '1,:rVEy�CL�/N�E4TYPFI;::Sy` s1�'� - •5;:_�v,'r.�T.'b� -..,. �%t:�i' • Ce AUTa • CAMPEFVRV T BOAT • C TRUCKNAN 0 BUS Ci)3 AIRCRAFT C0 MOTORCYCLE . : ,it TRAILER• 0 OTHER 5 HOW WASVINIFIU ACOU D? ##flAG WVVESSEL REG. 11 YR 12 STATE OF VEHICLES 20 FINANCED BY 121 DATE OF LAST PAYMENT 122 INSURANCE COMPANY 28 RESIDENCE ADDRESS (LIP) PHONE o!' V- e-:32 «• NDITION VEHICLE TOWED BY/WHEERE? ((� GOOD :�; POOR :E FAIR , STRIPPED cs'. u' Ee- 8 PHOTOS O YES NO rRECOVERY MILEAGE ERY — MSG. # 27 BUSINESS ADDRESS (ZIP) PHONE 30 STRIPPED? 81 DISPOSITION OF VEHICLE C; YES C: NO (+ TOWED •(E' OWNER '34 IF OOT REC AUTHOR 1 ID REQUESTED? ' YES C;: NO 12 SCENE PROCESSED? YES C NO 13 WAS PHYSICAL EVIDENCE OBTAINED FROM THE SCENE? 4 LATENTS C YES NO DRUG ACTIVITY N/A yF. (II: BUY CD. DELIVER ram.• USE 6 EVIDENCE TO CJ. YES PROPERTY UNIT rti0 YES ' K. DISPB4SFJDISTRIBUTE A, MANUFACTURE/PRODUCE/CULTIVATE POSSESS 'R. SMUGGLE 6 APP/DEMEANOR .21'-DIRTY C _2-FLASHY CL: CL_3 - NEAT CjD (2) 4-ANGRY Cr. 5-CALM CD CL 8-co=CY CD•C1°17- DRUNK . CD r,e- NERVOUS >9-ZAOLENT (D. "„/rJ•O-OTHER 7 SPEECH t rW 1-ACCENT rj,D '; 2 - RAPID.. (ID (2':3-SLOW 3) (.i4-LOUD a) (II 5-SOFT (2T6-LISPS (D Cif CD RECAyYEgY I (OHMATIOV .,. cOft0-N/A CZ)1 - VOLUNTARY CID C0 2 - LOCATED —NOT 7IM,^ID TECHNICIAN 7f UN # /ir UNIT # Z./ 1: SELL TRAFFIC :Q' UNKNOWN '7,, OTHER DRUG TYPE 1 WA IC AMPHETAMINE BARBITURATE Cr: COCAINE ;0 YES C: NO 8_ , J'1)� R OFFICER ON SCENE /,i?IN #- �147.1 4 ZIT 4 �Qq �9 E, HEROIN "i: HALLUCINOGEN It MARIJUANA (). OPIUM/DERIVATIVE , PARAPHERNAIJA EQUIPMENT SYNTHETIC (:UNKNOWN X.OTHER 1 ENTRY 10) FRONT REAR SIDE. Q DOOii wiNDow SLIDING DOOR C3) DUCT/VENT X ADJ. BUILDING ROOF a) WALL I) GARAGE DOOR (ID OTHER/UNKNOWN EXIT ' fl1)� Diu (D (D• ao ab 2 PROPERTY TARGETS • 3) BUSINESS MACHINES IDBEER/LIOUOR, y� Cy'.CIGARETTEs 121) CKS/CHECK MACHINES C® CLOTHING CD ELECTRONICS ;D FIREARMS CD FOOD X JEWELRY ® TOOLS ® OTHERS 7 BURGLARY ELEMENTS - (r, ALARM INOPERATIVE . BURGLURIZED DURING LAST 12 MONTHS ID ADMITTED'STRANGER OR TRADESMAN DURING • PAST 7 DAYS (RES. BURGLARY).: al) TELEPHONE SURVEY, UNUSUAL CALLS, WRONG NUMBER; HANG-UPS DURING PAST 7 DAYS CX TENTED, UNDER CONSTRUCTION () SAFE OPENED/ATTEMPTED X. OTHER TELEPHONE Cp CALLED VICTIM (BEFORE/AFTER) ® PULLED OUT CORD (m SUSPECT USED VICTIM'S PHONE CD USED CORD TO TIE VICTIM X OTHER t.C.RirviE-SAGARASE-PROFERTYMIto F 3 METHOD OF BREAKING a) BREAK/CUT GLASS CD BREAK/REMOVE DOOR PANEL CLITBREAK LOCK ID CHOP/SMASH CD CUT/BREAK SCREEN 'i'HID IN BUILDING a)'KICK/PUSH X PICK LOCK ID -PRY/JIMMY 1/1) REMOVE JALOUSIE ID REMOVE AIR CONDJFAN t12 REMOVE WINDOW/DOOR 33 SMASH GLASS -TAKE MERCHANDISE MD UNLOCKED/NO FORCE tit OTHER 7 BURGLARY ELEMENTS (3) ATE/DRANK ON PREMISES X BROKE INTO COIN OPERATED MACHINE a BURGLARY NOT COMPLETED 3D DEFEATED/ATTEMPTED TO DEFEAT ALARM X DEFECATED ID DISTRACTED VICTIM ID IMPERSONATION X KNEW LOCATION OF HIDDEN CASH X LEFT TOOLS ON SCENE MALICIOUS DESTRUCTION ID NEATLY SEARCHED 4 INSTRUMENT USED ID BOLT CUTTER ID BRICK/ROCK X CHANNEL LOCKS/ VISE GRIPS - CD CHOPPING TOOL CX) CUTTING TOOL • ?D-CUTTING TORCH ID FEET (D HAMMER-- (B.) KEY 1D •PRYING TOOL 19])-SAW/DRILL 12 SCREWDRIVER 9D TAPE • - -- - .13) VEHICLE *D OTHER 5 PREMISES SECURED DATE TIME: ® PIGEON DROP 01) RANSACKED ENTIRELY I3) RANSACKED PORTION (j$) REMOVE PRINTS/WORE GLOVES (14 TRICKERY a TRIPPED ALARM AND - RETURNED LATER ID TURNED UGHTS OFF -ON USED TOOLS FOUND AT THE SCENE _. . OTHER . GRIM S`AGAINST P RS!)N-S SUSPECTS ACTION (ROBBERY ONLY) (ID ASSAULTED VICTIM (3) ASK FOR OR BUYS MERCHANDISE ® APOLOGETIC ID DEMANDED JEWELRY CB) MADE THREATS ( OTHER THEFT INVOLVED CD PRODIITUITON INVOLVED (HE SEX ACT INVOLVED '11)) SHOTS FIRED a USED LOCKOUT 34 USED MASK fit USED NOTE 11*USED STOLEN CAR OTHER PURSE SNATCH - PUT MONEY IN BAG 5 FORCE USED ON VICTIMS (DABDUCTS D BLINDFOLD VICTIM a) BOUND VICTIM ETC. @ BIT VICTIM X COVERED VICTIM'S FACE X CHOKED VICTIM 4 FORCED VICTIMS TO CD DISROBE CV ENTER CAR TRUNK (3)ENTER RESTROOM C3 GET MONEY FROM BANK FAMILY, C6) GO TO ANOTHER LOCATION ID UE DOWN (D •OPEN SAFE CO PUT PROPERTY IN SAC( (D REAR OF BUILDING 7 SOUCITED, OFFERED (3 AID FOR CAR Cg) ASSISTANCEANFORMATION a) CIGARETTE CD CON GAME CD DRUGS CDFOOD, DRINKS, CANDY CD CID GIFT/PRIZE MONEY PROSTITUTION/SEX RIDE USE OF PHONE OTHER 3 VICTIM IS (WAS) a) ABOUT TO ENTER HOME CD'INTOXICATED a) ALONE (3) OPENING/CLOSING BUSINESS Chi ELDERLY (5) -RETARDED a) GAMBLING OTHER (H) GOING TO BANK AD) HANDICAPPED 8 TYPE OF PROTECTION. (3) LOCKS CV) BARS (1i SILENT ALARM CD AUDIBLE ALARM u C •cr CL c 01 O N �' .0 \ 4.1 2 C C. C C C 4.1 O CU c £ 'O a u - -a) USTENING DEVICE` {n 4,) MOTION DETECTOR - -13) OTHER 9 CRIME SCENE INFO. ID REQUESTED? •- QYES C) NO IF NO EXPLAIN WHY (7)' SCENE WET •X ALREADY CLEANED BY VICTIM X SURFACE NOT CONDUCTIVE TO PRINTS • 'C4)•CONTAMINATION - . EXPLAIN IN NARR. • 10 VICTIM WAS • --- - - - - :3) HOME X VACATION (:3)WORK (GONE CD AD C$) (1D) L� e CUT/STABBED VICTIM GAG VICTIM HIT VICTIM SHOT VICTIM THREATS ONLY OTHER 0 IMPERSONATED (i) CUSTOMER •'I) DELIVERY PERSON (j) DISABLED MOTORIST (D DRUNK EMPLOYEE/EMPLOYER CD 'FRIEND INJURED (D POUCE/L4W •:D) RELATIVE 8 CHARACTERISTIC OF SUSPECT (SEX CRIMES ONLY) (1) ANAL SEX ($) ORAL SEX (2) APOLOGETIC (D) MASTERBATED a; CHILD MOLEST 3D4 RAPED MORE THAN ONCE (:) EJACULATED ID RIPPED/CUT CLOTHES 13) FOUL LANGUAGE T9 UNABLE TOACHIEVE (1) GENTLE ERECTION )'MAKES THREATS RENTER TV REPAIRMAN 12) SALESMAN 13.) SEEKING AID 13 -SOUCRING a SURVEYING gm OTHER lS) UNUSUAL ODOR (BODY ODOR, SMELLED GOOD, ETC.) Hip USED LUBRICANT (1) USED VICTIM'S NAME ® VIOLENT la OTHER STATUS TYPE.) . CD FORGED Chi COUNTERFEIT Cl) FORGED AND UTTERED C •COUNTERFEITED AND UTTERED nr= T1fPE C) CHECK I MONEY ORDER (3 ATM/DEBIT CARD XCREDITCARD CD •BOND/CERTIFICATE a IDENTIFICATION CHECK 1 CHECK NO. 2 AMOUNT 9 CHECK PAYABLE TO 4 -DATE OF DOCUMENT 5 BANK DRAWN ON s 8 SIGNATURE ON FACE (MAKER) •_•7 ACCOUNT NUMBER 8 OWNER OF CHECK (PERSON OR COMPANY) TYPE OF IDENTIFICATION USED 9 DRIVERS LICENSE @ 10 STATE 11 OTHER LD. (DESCRIBE, INCLUDE 8'e, PHOTO I.D. ETC.) (D PRESCRIPTION 'J Di OTHER (1) TRAVELERS CHEFKs CRIME SCENE SPECIFICS 1. CAN OFFENDER BE IDENTIFIED? Q YES Q NO 2.OWNER OF CHECK NOTIFIED? 0 YES C) NO W YES, NAME &THEFT VERIFIED? 0 YES 0 NO IF YES, CASE NUMBER P.D. 4. WAS OFFENDER ENDORSEMENT OBSERVED? Q YES Q NO 5. WAS OFFENDER(S) PHOTOGRAPHED? C) YES Q NO 8. FORGERY AFFIDAVIT OBTAINED? Q YES Q NO 7. HAVE THE ORIGINAL DOCUMENTS BEEN PROTECTED FOR EVIDENTS? tQ YES Q NO WHERE? 12 COMPANY NAME CREDIT CARDS 113 CARD NUMBER 114 ISSUED TO MI BE Todd B. Hannon ' Zo tor Submitted into the public record in connection with item PZ.i on 01/23/14 Todd B. Hannon ami ISIZI um E:332 14=I 55113 same_r rga_.,... 12;11 ous *ill OM 1233 ass 113131 ECM 13=1 * 0660 mtra a _ Ql. sitii PEE4 INCIDENT NUMBER . .•.,,, .=.0;-."1.1.", .....-.:."- -Z./.,'.....- - -6 F:t.i t;ERA§§711/17057RIErEln__ City Clerk - 0 Cs 5- i_ . 1 . INCIDENT TYPE 2 OFFICER ACTIVITY ... 4:: ZL--157' T- '-'s: ..,.-"I'.: '-`1. •Ci) a') :,.3.-.' a) 0;1" '4 'AI --.'D ;3) 4..., ,:c 9. ,.1) 4) (...., 1...,. (0) lit .1) 4 ..2) (if),:a-).V •Iii., .I: :.:3) a....- -62, ;II 'I) :.*O.:• .I) ',...3) ;if; ...1) :"."C •:.7:.! ••-**.O.; -4E C3-.) '1) 5) CE.3) (.2D a) I) 0 .70 C.3) ,1) t:-.0 <V (1, ‘.'..7. A: *.115. "4")3. '.01 ,-Ei• CO) a. .f..::.; 14-.. '11`• ti) : 1::. • • 7. ,A. 11' :1*. OFFICER KILLED FELONIOUS • • '2 OFFICER KILLED ACCIDENT OR NEGUGENCE • OFFICER ASSAULTED. NO INJURY • •• 4. OFFICER ASSAULTED. MINOR INJURY 4. OFFICER ASSAULTED. SERIOUS • INJURY * . . ...i. RESPONDING TO DISTURBANCE Ilt DOMESTIC DISTURBANCE . 1 BREAKING AND ENTETING IN PROGRESS . 1. HANDLING. TRANSPORTING. OR PURSUING B. AND E. SUSPECT CUSTODY OF PRISONERS ; a. ROBBERY IN PROGRESS OR PURSUING (& INVESTIGATING SUSPICIOUS ROBBERY SUSPECT PERSONS OR CIRCUMSTANCES •*14 ATTEMPTING OTHER ARREST :s.g. AMBUSH, NO WARNING it- CIVIL DISORDER . 10E ASSAILANT MENTALLY. DERANGED If.. TRAFFic IT PURSUOR STOP 1g OTHER .'3i) 1.3) f,..3) (Ii) a.) ' -.1 * ..t4I •--;q:i,1 --"•-:j-'2 FA ----i-, ". lay •-/...., at) :K.• cD 3:', at• • " IC ® CH:, at) I) 3 TYPE OF ASSIGNMENT . It; ONE PERSON, VEHICLE, ALONE ... SS; DETECTIVE OR SPECIAL 4: ONE PERSON, ASSIGNMENT, ASSISTED . VEHICLE, ASSISTED `-sit, TRAFFIC/MOTORCYCLE 4. TWO PERSON. VEHICLE OFFICER C4:, DETECTIVE OR SPECIAL :-/,, OTHER,ALONE - . ASSIGNMENT, ALONE aV OTHER, ASSISTED - - '- 4 (ANSWER ALL QUESTIONS -7-...- - Y N UNK N/A WAS OFFICER WEARING SOD-YARM5R? C) C) C. DIDARMOR PREVENT SERIOUS INJURY OR FATALITY? (...-.) c..; c..:: c WAS OFFICER AWARE OFFENDER HAD WEAPON? a 0 0 a DIDOFFENDER USE OFFICER'S WEAPON? 0 C.) CD C WAS A FIREARM DISCHARGED BY OFFENDER? (.j (ID (ID cf.; .. _ . a a; 5 WAS OFFENDER INJURED?. C YES C: NO C. UNK. DISTANCE FROM OFFICER IN FEET (ESTIMATE) - : ® . (*) .1) EXTENT OF INJURIES TO OFFENDER liy, N/A 42 MODERATE ..a FATAL MINOR 113) SERIOUS .WAS A FIREARM DISCHARGED BY THEOFFIOER? .. a. (5 a . .. . 0 (.u) 13,' OFFICER EXPERIENDE(TN.YEARS) AGE . . -ZiSc: Op- ID - . • . _ . . 00P0g.0.4.0.01#00Y.,PFrOIDP1MVPKF 4. CID . . - (P,..'..; r 3f) (..t.' • (2D PROP. *s _ =LEN R - RECV'D FOR H - RETURNED.TO OWNER. • E - EVIDENCE/SEIZED CODE F - FOUND OTHER AGENCY K - PHOTOS TAKEN PROPERTY Y - MPD STOLEN & REC. - 0- DAMAGE (INC. VALUE) P - PERSONAL RETURNED TO OWNER A - ARSON (INC. 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